| Lakeview Village | |
| 13840 W 91st Terrace, Lenexa, Kansas 66215 | |
| (913) 888-1900 | |
| Name | Lakeview Village |
|---|---|
| Location | 13840 W 91st Terrace, Lenexa, Kansas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 158 |
| Occupancy Rate | 72.66% |
| Medicare ID (CCN) | 175242 |
| Legal Business Name | Lakeview Village, Inc. |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1427054048 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lakeview Village, Inc |
| Doing Business As | Lakeview Village |
| Address | 13840 W 91st Ter, Lenexa, KS 66215 |
| Phone Number | 913-888-1900 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.86 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.07 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.82 | 0.86 |
| Nurse aide hours per resident per day | 3.97 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 5.53 | 3.42 |
| RN hours per resident per day on the weekend | 0.75 | 0.48 |
| Physical therapist hours per resident per day | 0.23 | 0.07 |
| Total nursing staff turnover | 41.1% | 45.8% |
| Registered nurse turnover | 29.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $27,841 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 22, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 26, 2026 |
| Apr 22, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 26, 2026 |
| Apr 22, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 26, 2026 |
| Apr 22, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 26, 2026 |
| Apr 22, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 26, 2026 |
| Apr 22, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 26, 2026 |
| Apr 22, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 26, 2026 |
| Apr 22, 2026 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by May 26, 2026 |
| Apr 22, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Jun 5, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Jun 5, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jul 5, 2024 |
| Dec 19, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Jan 12, 2023 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Feb 12, 2023 |
| Jan 12, 2023 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 12, 2023 |
| Jan 12, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 12, 2023 |
| Jan 12, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 12, 2023 |
| Jan 12, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 12, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.82 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.43 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.61 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5.1 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.13 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.31 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.99 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.23 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.31 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.46 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.03 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 1.74 | 15.38 |